CHAMBERLAIN EXIT EXAM QUESTIONS
AND ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
A nurse is completing an admission assessment for a client who has
narcissistic personality disorder. Which of the following should the nurse
expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging - ANS ✓d. Preoccupied with aging
A nurse is planning care for a group of clients and is working with one LPN
and one AP. Which of the following actions should the nurse take first to
manage her time effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP - ANS ✓c. Determine goals of the day
A nurse is developing a plan of care for a client who has preeclampsia and
is to receive magnesium sulfate via continuous IV infusion. Which of the
following actions should the nurse include in the plan?
a. Restrict the client's total fluid intake to 250 mL/hr.
b. Measure the client's urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity occur
d. Monitor the FHR via Doppler every 30 min - ANS ✓b. Measure the client's
urine output every hour
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A nurse is caring for a group of clients. Which of the following wounds
should the nurse expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn - ANS ✓c. Approximated surgical incision
A nurse in an acute mental health care facility is prioritizing care for
multiple clients. Which of the following clients should the nurse see first?
a. Client taking clozapine to treat schizophrenia and reports sore throat
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others during
group therapy
d. Client who has depressive disorder and requires assistance with ADLs -
ANS ✓a. Client taking clozapine to treat schizophrenia and reports sore throat
A nurse is caring for a client who has an implanted venous access port.
Which of the following should the nurse use to assess the port?
a. An angiocatheter
b. A butterfly needle
c. A non-coring needle
d. A 25 gauge needle - ANS ✓c. A non-coring needle
A nurse is caring for a client who has pneumonia and tells the nurse, "I feel
like an elephant is sitting on my chest." The client is weak and unable to
walk. After the nurse indicates chest pain protocol, which of the following is
the priority diagnostic test?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
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d. Serum potassium - ANS ✓b. 12 lead ECG
A nurse is assessing the growth and development of a 3 y/o child. Which of
the following questions should the nurse ask the parent to determine if the
child is exhibiting typical developmental expectations?
a. "Can your child draw a stick figure?"
b. "Can your child catch and throw a small ball?"
c. "Can your child ride a tricycle?"
d. "Can your child name five colors?" - ANS ✓c. "Can your child ride a tricycle?"
A nurse is preparing to assess fetal heart tones for a client who is at 12
weeks of gestation. Which of the following actions should the nurse take?
a. Measure the fundal height to determine the placement of the ultrasound
stethoscope
b. Perform Leopold maneuvers prior to auscultating the FHR
c. Position the ultrasound stethoscope above the symphysis pubis to assess
the FHR
d. Place the client in a side-lying position prior to assessing the FHR - ANS
✓c. Position the ultrasound stethoscope above the symphysis pubis to assess the
FHR
A nurse is assessing a client who has a chest tube with a water seal drainage
system. Upon assessment, the nurse notes tidaling in the water seal. Which
of the following is an explanation for the tidaling?
a. There is a loop of tubing below the drainage system
b. The system is working properly
c. The lung has re-expanded
d. The tubing is partially obstructed by clots - ANS ✓b. The system is working
properly
A charge nurse on a medical surgical unit is assisting with the emergency
response plan following an external disaster in the community. In
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anticipation of multiple client admissions, which of the following current
clients should the nurse recommend for early discharge?
a. A client who is receiving heparin for DVT
b. A client who is 1 day postoperative following a vertebroplasty
c. A client who has COPD and a respiratory rate of 44/min
d. A client who has cancer with a sealed implant for radiation therapy - ANS
✓a. A client who is receiving heparin for DVT
A nurse is caring for a client who has ESRD. The client's adult child asks the
nurse about becoming a living kidney donor for her father. Which of the
following conditions in the child's medical history should the nurse identify
as a contraindication to the procedure?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primary glaucoma - ANS ✓b. HTN
A nurse is caring for a client who is 4 days postpartum. Which of the
following assessment findings should the nurse expect? (SATA)
a. Foul perineal odor
b. Fundus displaced to the right
c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
e. Postpartum chill - ANS ✓c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
A nurse is caring for a child who has cystic fibrosis and requires postural
drainage. Which of the following actions should the nurse take?
a. Perform the procedure twice a day
b. Hold hand to perform percussions on the child
c. Administer a bronchodilator after the procedure
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